Provider Demographics
NPI:1578356028
Name:DYNAMIC INDUSTRIAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:DYNAMIC INDUSTRIAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CLINICAL OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOLONGOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:610-357-1948
Mailing Address - Street 1:PO BOX 7124
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-0124
Mailing Address - Country:US
Mailing Address - Phone:610-357-1008
Mailing Address - Fax:
Practice Address - Street 1:113 WELDIN PARK DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-4714
Practice Address - Country:US
Practice Address - Phone:610-357-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies